09 September 2019
During an inspection looking at part of the service
We carried out an announced focused inspection at Ludlow - Portcullis on 9 September 2019. We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.
This inspection focused on the following key questions: Safe, Effective, Responsive and Well led.
Because of the assurance received from our review of information we carried forward the ratings for the following key questions: Caring
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall and good for all population groups.
We found that:
- The practice had clear systems, practices and processes to keep people safe and safeguarded from abuse.
- There were adequate systems to assess, monitor and manage risks to patient safety.
- Patients received effective care and treatment that met their needs. The practice was responsive to the needs of its patient population. For example, in response to local need, the practice had employed a counsellor. Data showed that the percentage of patients with dementia whose care plan had been reviewed in the proceeding 12 months was higher than the CCG and national average.
- The practice rated higher for patient satisfaction relating to the overall experience of making an appointment when compared to local and national averages.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care. Leaders were aware of the strengths and areas for development and strived to keep updated. There was a strong focus on developing the skills of their staff team.
Whilst we found no breaches of regulations, the provider should:
- Ensure new policy relating to blank prescriptions is adhered to.
- Implement systems to review key paperwork, such as consent forms and referral forms to ensure completeness.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care